Indiana
Professional Licensing Agency
Mary Ellen Blake
Physical Therapy Committee - Physical Therapist Assistant
License number
06000086A
Date granted
02/12/1976
Date expires
06/30/2016
Class
Physical Therapy Committee - Physical Therapist Assistant
Status
Active
Address
Loogootee IN 47553
indianalicensing.org
ID 8364539
LAST UPDATED 2026-06-18 19:04:54 UTC
LAST UPDATED 2026-06-18 19:04:54 UTC
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